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NPI Code Detail

MEDICARE: HOPE ENACTED

MEDICARE: HOPE ENACTED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1405300000XPrevention Professional
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1154010742
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE ENACTED
Provider Business Mailing Address
First Line : 380 ALLEGHENY PL
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1119
Country : US
Telephone Number : 845-490-8068
Fax Number :
Provider Business Practice Location Address
First Line : 380 ALLEGHENY PL
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1119
Country : US
Telephone Number : 845-490-8068
Fax Number :
Authorized Official
Title or Position : AGENCY DIRECTOR
Name : NOAH ULLMAN
Credential :
Telephone Number : 845-490-8068
Provider Enumeration Date : 05/01/2023
Last Update Date : 08/31/2025

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Directions to “HOPE ENACTED ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.